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Journal articles on the topic 'North Bristol NHS Trust'

Author: Grafiati

Published: 12 December 2022

Last updated: 26 January 2023

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1

Harmon, Shawn H. E., and Graeme T. Laurie. "YEARWORTHv. NORTH BRISTOL NHS TRUST: PROPERTY, PRINCIPLES, PRECEDENTS AND PARADIGMS." Cambridge Law Journal 69, no. 3 (November 2010): 476–93. http://dx.doi.org/10.1017/s0008197310000772.

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2

Tarrant, Madelaine, Calum Honeyman, Alex Aquilina, and Katie Young. "Improving the accessibility of trust guidelines for junior doctors at North Bristol NHS Trust." BMJ Quality Improvement Reports 3, no. 1 (2014): u202211.w1101. http://dx.doi.org/10.1136/bmjquality.u202211.w1101.

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3

Mumme, Mark, Theresa Redaniel, Andy Boyd, Joni Jackson, Becky Mars, and John Macleod. "The Bristol Self Harm Register (BSHR) dataset: Linked self-harm register records of the children in the Avon Longitudinal Study of Parents and Children (ALSPAC)." Wellcome Open Research 7 (July 26, 2022): 195. http://dx.doi.org/10.12688/wellcomeopenres.17724.1.

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This data note describes the linking of records of the Bristol Self Harm Register with the cohort of the index children of the Avon Longitudinal Study of Parents and Children (ALSPAC – also known as ‘Children of the 90s’). These records were obtained from the computerised data base maintained by the Bristol Self Harm Register (BSHR). The BSHR is operated out of the two largest NHS trusts in the ALSPAC study catchment area, North Bristol NHS Trust (NBT) based at Southmead Hospital (SMH) in Bristol and the University Hospitals Bristol and Weston NHS Foundation Trust (UHBWT) based at Bristol Royal Infirmary (BRI), also in Bristol. The BSHR database was designed to be populated by staff after an encounter with a patient attending with an indication of self-harm. Some of the information in the BSHR database was self-reported by the patient and was unable to be independently verified. Software syntax was written using STATA (StataCorp LLC, version 17) to convert the original files into a single consistent format in a data base which was reviewed for its potential use in future research. The cleaned BSHR records provide a contemporaneous record of a subset of the ALSPAC cohort over a period of the ALSPAC study in an easily accessible format, which is valuable when other sources of data may be missing.

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4

Farrukh, Affifa, and John Mayberry. "Apparent Disparities in Hospital Admission and Biologic Use in the Management of Inflammatory Bowel Disease between 2014–2018 in Some Black and Ethnic Minority (BEM) Populations in England." Gastrointestinal Disorders 2, no. 2 (May 29, 2020): 144–51. http://dx.doi.org/10.3390/gidisord2020015.

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Discrimination in delivery of care to patients with inflammatory bowel disease has been reported in the UK with regards to the South Asian population. This paper explores whether it is also true for Afro-Caribbean and Eastern European migrant workers. Treatment was investigated in NHS trusts, which served substantial migrant and minority communities, through Freedom of Information requests for data on use of biologics or hospital admissions over a five year period. In Bristol, Nottingham, Derby and Burton, Princess Alexandra Hospital Trust in Harlow, Essex and Kings College Hospital NHS Foundation Trust in South London Afro-Caribbean patients were treated significantly less often than White British patients. Eastern European migrant workers, were admitted significantly less often in Croydon, and the Princess Alexandra Hospital NHS Trust in Essex. However, there was no evidence of barriers to access for these communities in Wye Valley Trust, University Hospitals of Bristol NHS Foundation Trust or Queen Elizabeth Hospital Kings Lynn. In North West Anglia both South Asian and Eastern European patients were significantly less likely to be admitted to hospital than members of the White British community. It is incumbent on all gastroenterologists to consider their own clinical practice and encourage their hospital units to adopt effective policies which remove discriminatory barriers to good quality care.

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5

Caddick, Katharine. "Promoting a better standard of care for hepatology patients." British Journal of Nursing 30, no. 3 (February 11, 2021): 188. http://dx.doi.org/10.12968/bjon.2021.30.3.188.

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6

Mumme, Mark, Madeleine Clout, Charli Grimes, Rachel Calkin, Adam Finn, Catherine Hyams, and John Macleod. "Avon Community-Acquired Pneumonia (AvonCAP) Surveillance Study: A Pan-pandemic Acute Lower Respiratory Tract Disease Surveillance Study, and the linked records of the participants in the Avon Longitudinal Study of Parents and Children (ALSPAC)." Wellcome Open Research 7 (November 24, 2022): 284. http://dx.doi.org/10.12688/wellcomeopenres.18336.1.

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This data note describes the linking of records of the Avon Community-Acquired Pneumonia (AvonCAP) Surveillance Study – A Pan-pandemic Acute Lower Respiratory Tract Disease Surveillance Study (ISRCTN: 17354061), with the participants of the Avon Longitudinal Study of Parents and Children (ALSPAC – also known as ‘Children of the 90s’). These records were obtained from a database created specifically by AvonCAP operating within the two acute care NHS Trusts in Bristol, which is the centre of the ALSPAC study catchment area. These two trusts are the (a) North Bristol NHS Trust (NBT) based at Southmead Hospital (SMH) and (b) the University Hospitals Bristol and Weston NHS Foundation Trust (UHBWT) based at Bristol Royal Infirmary (BRI). The AvonCAP database was updated by staff using a combination of clinical records and self-reporting by the participant, which was unable to be independently verified. Data was collected using the REDCap (Research Electronic Data Capture) software program. Software code was created to transform the original files into a single data base which was reviewed for data-completeness and for its potential value as a research resource. The AvonCAP records provide a contemporaneous record of a subset of the ALSPAC cohort who experienced Lower Respiratory Tract Disease. It is available for research and may be used in conjunction with other ALSPAC data.

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7

Harmon, Shawn H. E. "Yearworth v. North Bristol NHS trust: a property case of uncertain significance?" Medicine, Health Care and Philosophy 13, no. 4 (July 2, 2010): 343–50. http://dx.doi.org/10.1007/s11019-010-9261-4.

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8

Ladds, Emma, Frederica Betteridge, Sarah Yamamoto, and Thomas Gupta-Jessop. "Improving the quality of discharge summaries for elective surgical procedures at North Bristol NHS Trust." BMJ Quality Improvement Reports 4, no. 1 (2015): u203452.w1552. http://dx.doi.org/10.1136/bmjquality.u203452.w1552.

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9

Smith, James, James Warbrick-Smith, George Filobbos, and Sherif Wilson. "Initiating a transfusion protocol for free diep flap breast reconstruction in North Bristol NHS Trust." International Journal of Surgery 10, no. 8 (2012): S66. http://dx.doi.org/10.1016/j.ijsu.2012.06.347.

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10

Dale, Anna-Marie, Fraser Easton, Rebecca Haggie, and Joanna Hardy. "The stair climb challenge: a holistic approach to maintaining medical professionalism at North Bristol NHS Trust." Future Healthcare Journal 9, Suppl 2 (July 2022): 71. http://dx.doi.org/10.7861/fhj.9-2-s71.

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11

Chung, L., B. Arnold, R. Johnson, and MJ Lockett. "OC-038 Making The Change: Switching to Infliximab Biosimilars for IBD at North Bristol NHS Trust." Gut 65, Suppl 1 (June 2016): A22.2—A23. http://dx.doi.org/10.1136/gutjnl-2016-312388.38.

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12

Ward, Joseph, Robin Spencer, Eleanor Soo, and katherine finucane. "Standardising the organisation of clinical equipment on surgical wards at North Bristol NHS Trust: a quality improvement initiative." BMJ Quality Improvement Reports 4, no. 1 (2015): u208308.w3441. http://dx.doi.org/10.1136/bmjquality.u208308.w3441.

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13

Wood, Mick. "Clinical commentary by Mick Wood, child and adolescent psychotherapist, child and adolescent mental health services, North Bristol NHS Trust." Journal of Child Psychotherapy 39, no. 1 (April 2013): 98–102. http://dx.doi.org/10.1080/0075417x.2012.761429.

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14

Smith, J., J. Hamer, A. Mundell, N. Mogford, R. Brown, J. Gillard, and F. Hamill. "GRP-157 Reducing the Incidence of “Missed Doses” at North Bristol NHS Trust (NBT): Abstract GRP-157 Table 1." European Journal of Hospital Pharmacy 20, Suppl 1 (March 2013): A56.3—A57. http://dx.doi.org/10.1136/ejhpharm-2013-000276.157.

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15

Smith, J., J. Hamer, A. Mundell, N. Mogford, R. Brown, and F. Hamill. "GRP-093 Implementing and Improving Medicines Reconciliation on Admission at North Bristol NHS Trust (NBT): Abstract GRP-093 Table 1." European Journal of Hospital Pharmacy 20, Suppl 1 (March 2013): A33.3—A34. http://dx.doi.org/10.1136/ejhpharm-2013-000276.093.

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16

Mead, John. "Sperm loss – first instance decision reversed: Yearworth and Others v North Bristol NHS Trust (Court of Appeal, 4/2/09)." Clinical Risk 15, no. 3 (May 2009): 129–30. http://dx.doi.org/10.1258/cr.2009.090032.

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17

Walker, K. "CP-155 Missed and delayed doses of Parkinson’s medicines at North Bristol NHS Trust (NBT) (UK): Abstract CP-155 Table 1." European Journal of Hospital Pharmacy 21, Suppl 1 (February 24, 2014): A62.2—A62. http://dx.doi.org/10.1136/ejhpharm-2013-000436.153.

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18

Partridge, E., M. Brooks, C. Curd, V. Davis, C. Oates, and D. McGeeney. "The effects of centralisation of vascular surgical services in the Bath, Bristol and Weston area on the carotid endarterectomy pathway." Annals of The Royal College of Surgeons of England 99, no. 8 (November 2017): 617–23. http://dx.doi.org/10.1308/rcsann.2017.0087.

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Introduction Patients who experience a transient ischaemic attack are at the highest risk of having a subsequent stroke immediately after their symptoms. A carotid endarterectomy should be performed on symptomatic, surgically suitable patients who present with a greater than 50% North American Symptomatic Carotid Endarterectomy Trial stenosis of the internal carotid artery within 2 weeks of their symptoms. This study aimed to determine whether the effectiveness of the carotid endarterectomy pathway has been impacted by the centralisation of vascular surgical services in the Bath, Bristol and Weston area. Materials and Methods From October 2013 to October 2015, critical steps in the patient carotid endarterectomy pathway that vascular surgeons from the Royal United Hospital Bath, Bristol Royal Infirmary and North Bristol NHS Trust input into the Royal College of Surgeons National Vascular Registry were collected. The dates of patient’s symptoms, referral, first scan, surgical team review and surgery were analysed. Results Carotid endarterectomy data was collected for 261 patients. Overall, no significant difference in median time (days) from symptom to surgery from precentralisation data compared with post-centralisation data was seen (P = .175), with 65% patients meeting the national target of symptom to surgery in less than 14days. Discussion and Conclusion Centralisation has not significantly impacted the overall efficiency of the carotid endarterectomy pathway. This study highlights areas where improvement across the vascular network is required. This includes addressing the 35% patients that are not currently meeting the 14-day target and standardising the provision of care to outlying communities. Further follow-up is required to assess the longer term effects of centralisation.

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19

Coombs, Catherine, Adriana Pereira, Benjamin Masteman, Abiramy Jeyabalan, Martin Plummeridge, and Anna Bibby. "Impact of the COVID-19 pandemic on suspected lung cancer referrals and subsequent lung cancer diagnoses at North Bristol NHS Trust (NBT)." Lung Cancer 165 (March 2022): S15. http://dx.doi.org/10.1016/s0169-5002(22)00077-0.

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20

Fradgley, S., and JB Smith. "DGI-070 The Purple Waste Stream – How North Bristol NHS Trust (NBT) Deals with Hazardous Waste Medicines: Abstract DGI-070 Table 1." European Journal of Hospital Pharmacy 20, Suppl 1 (March 2013): A121.2—A122. http://dx.doi.org/10.1136/ejhpharm-2013-000276.336.

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21

Mead, John. "Sperm loss – no liability in negligence: Yearworth and others v North Bristol NHS Trust (Exeter County Court, 12/3/08 – Judge Griggs)." Clinical Risk 14, no. 3 (May 2008): 123–24. http://dx.doi.org/10.1258/cr.2008.080025.

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22

Pennington, Catherine, Harriet Ball, and Marta Swirski. "Functional Cognitive Disorder: Diagnostic Challenges and Future Directions." Diagnostics 9, no. 4 (September 28, 2019): 131. http://dx.doi.org/10.3390/diagnostics9040131.

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Functional cognitive disorder describes patients with persistent, troublesome subjective cognitive complaints that are inconsistent with a recognized disease process, and where significant discrepancies are found between subjective and objectively observed cognitive functioning. The etiology is heterogeneous and potentially related to underlying psychological factors. Making a diagnosis of functional cognitive disorder can be challenging and there is the potential for misdiagnosis of early-stage neurodegeneration. We compared neuropsychological findings in three groups: functional cognitive disorder (FCD), mild cognitive impairment (MCI), and healthy controls. Participants were recruited from the ReMemBr Group Clinic, North Bristol NHS Trust, and via Join Dementia Research. Both the FCD and MCI groups showed elevated prospective and retrospective memory symptom scores. Performance on the Montreal cognitive assessment was equivalent in the FCD and MCI groups, both being impaired compared with the controls. The FCD group was younger than those with MCI. We discuss challenges and controversies in the diagnosis of functional cognitive disorder, alongside illustrative cases and proposals for areas of research priority.

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23

Smith, J., and CE Church. "OHP-049 Improving Compliance Aid Dispensing For Patients Discharged from North Bristol NHS Trust (NBT) by Using a 3Rd Party Dispensing Partnership: Abstract OHP-049 Table." European Journal of Hospital Pharmacy 20, Suppl 1 (March 2013): A153.1—A153. http://dx.doi.org/10.1136/ejhpharm-2013-000276.423.

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24

Clark, S. A., N. E. Atack, P. Ewings, I. S. Hathorn, and N. S. G. Mercer. "Early Surgical Outcomes in 5-Year-Old Patients with Repaired Unilateral Cleft Lip and Palate." Cleft Palate-Craniofacial Journal 44, no. 3 (May 2007): 235–38. http://dx.doi.org/10.1597/06-044.

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Objective: To assess the surgical outcome of 5-year-old subjects with repaired unilateral cleft lip and palate who had been operated on by a single surgeon. Design: Retrospective consecutive outcome study. Setting: The cleft lip and palate center at Frenchay Hospital, North Bristol NHS Trust, U.K. Participants: All patients born with unilateral cleft lip and palate between May 1992 and April 1998 were identified and their study models were located. Main Outcome Measures: The reasons for failing to obtain study models were recorded. The “test” study models were combined randomly with a “gold standard” set of study models to give a group of 53 for assessment purposes. These study models were assessed twice by two examiners independently using the 5-Year-Olds’ Index. The weighted kappa (κ) statistic and components of variance were used to establish the levels of agreement within and between examiners, as well as between the gold standard and the examiners. Results: Thirty sets of study models out of a possible 43 were located. The most common reason for not obtaining records was poor cooperation. More than 50% of study models were assessed as being good outcomes (Index groups 1 and 2), whereas fewer than 20% of the records were evaluated as being poor outcomes (Index groups 4 and 5). There was good inter- and intraexaminer agreement and agreement with the gold standard values. Conclusion: Study model collection in this age group can be difficult due to patient cooperation.

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25

Joughin, Andrea, Sarah Ibitoye, Amy Crees, David Shipway, and Philip Braude. "Developing a virtual geriatric perioperative medicine clinic: a mixed methods healthcare improvement study." Age and Ageing 50, no. 4 (May 15, 2021): 1391–96. http://dx.doi.org/10.1093/ageing/afab066.

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Abstract Background the Geriatric Perioperative Care clinic at North Bristol NHS Trust was suspended in March 2020 during the COVID-19 pandemic. A virtual clinic was piloted to deliver preoperative health optimisation and shared decision-making for patients undergoing critical elective surgery. No literature existed on virtual preoperative clinics for older people to support the development. Objective this healthcare improvement study describes the setup and delivery of the virtual clinic as its primary aim. Secondary aims included: assessing older people’s access to technology and their digital literacy for virtual consultation; to describe barriers and facilitators for consultations, as well as evaluation of patient and clinician satisfaction with the consultations' mode of delivery and outcomes. Methods a mixed methods healthcare improvement study was undertaken through plan-do-study-act cycles, semi-structure interviews, and quantitative service benchmarking. Results the pilot evaluated 67 preoperative consultations (43.3% video, 56.7% telephone, mean age 75) with a mix of surgical pathology (vascular 88.1%, colorectal 10.4%, urological 1.5%). Patient feedback demonstrated improved understanding of conditions (90.6%), and adequate opportunity to express opinions and questions (96.2%). Clinicians preferred video consultations (adequate to deliver services: 89.7% video; 68.4% telephone). The greatest barriers to engagement, none of which were exclusions to participation, included cognitive impairment, sensory impairment, or needing technical assistance setting up video consultations (52.2%). Conclusions delivering a virtual preoperative medical optimisation and shared decision clinic for older people is feasible. This study will aid other units in developing their own virtual preoperative clinics. Future work should evaluate perioperative outcomes of delivering a face-to-face versus virtual clinic.

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26

Paramlall, Mark, and Himanshu Tyagi. "#3108 Initial assessment structure in a specialist outpatient clinic for acquired brain injury in adults." Journal of Neurology, Neurosurgery & Psychiatry 92, no. 8 (July 16, 2021): A16.1—A16. http://dx.doi.org/10.1136/jnnp-2021-bnpa.36.

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Consistent with the NHS quality agenda, Dept. of Health, 20111 there has been a drive to routinely incorporate outcome and performance measurement data in clinical practice. An absolute requirement within NHS services2 are Patient-Rated Outcome Measures (PROMS) which are used by some Royal College of Psychiatry faculties to quantify outcomes, improve accountability, performance management and service. They can also be used to screen for common health problems and ensure the comprehensive assessment of complex Acquired Brain Injury (ABI) Patients who typically present with various neurological and psychiatric comorbidities.The North Bristol NHS Trust Outpatient Clinic at The Frenchay Brain Injury Rehabilitation Centre and The Rosa Burden, Southmead Hospital, conducts new assessments and regular patient reviews for referrals from South West England. As part of a quality improvement initiative a semi-structured process of assessment was trialled, to improve patient experience by providing a comprehensive initial assessment, improving treatment productivity and reducing over-running clinics.MethodReferrals were audited and common reasons for referrals identified. Questionnaires and tools used in the clinic were reviewed and those most frequently used were compiled. The evidence for questionnaires utilized for different psychiatric comorbidities and applicability in ABI was examined in the literature. The finalized patient questionnaires booklet section and their sequence was decided based on expert peer recommendations and patient feedback. The collateral section was similarly developed with some questionnaires modified for operational reasons.SECTION ONE: SELF RATED PRE-ASSESSMENT QUESTIONNAIRERivermead Post Concussion Symptoms Questionnaire, Patient Health Questionnaire (15): Somatic Screen, Patient Health Questionnaire-9: Depression screen, General Anxiety Disorder 7: Anxiety screen, Mood Disorder Questionnaire: Bipolar Affective Disorder screen and the Civilian Version PTSD Checklist.SECTION TWO: CARER/FAMILY PRE-ASSESSMENT QUESTIONNAIREModified Overt Aggression Scalescreen for aggression, Neuropsychiatry Inventory Questionnaire: assesses psychiatric symptoms in patients with neurological disordersOutcomeThe final booklet was divided into three sections:Patient-Rated, ObserverRated and Clinician Section. Consultation efficiency was improved with the Patient and Observer rated sections completed prior to the initial assessment. The checklist is used for all initial assessments with good uptake and allowed for standardization of clinical information gathering. PROMs for mood are collected at each clinic appointment with other domains repeated if abnormal at initial clinic assessment or clinically relevant.References Fossey M, Parsonage M. Outcomes and performance in liaison psychiatry: developing a measurement framework. Centre for Mental Health and Royal College of Psychiatrists Report June 2014. Trigwell P, Kustow J, Santhouse A, et al. Framework for routine outcome measurement in liaison psychiatry (FROM-LP): faculty of liaison psychiatry royal college of psychiatrists faculty report. The Royal College of Psychiatrists 2015. vretveit J, Zubkoff L, Nelson EC, et al. Using patient-reported outcome measurement to improve patient care. Int J Qual Health Care 2017 Oct 1;29(6):874879.

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27

Davies, Andrew. "SH v. Bristol University Hospitals NHS Foundation Trust." Clinical Risk 20, no. 5 (September 2014): 124–25. http://dx.doi.org/10.1177/1356262214563622.

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28

Hawes, Cynthia. "Property Interests in Body Parts:YearworthvNorth Bristol NHS Trust." Modern Law Review 73, no. 1 (January 2010): 130–40. http://dx.doi.org/10.1111/j.1468-2230.2009.00787.x.

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29

Watt, James. "Pearce and Another v United Bristol Healthcare NHS Trust." Clinical Risk 8, no. 4 (July 1, 2002): 145–47. http://dx.doi.org/10.1258/135626202320162153.

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30

Thayer, N., S. White, J. Islam, W. Jones, S. Kenzie, and R. Kullu. "Evaluation of a collaborative pharmacy service initiative for people with intellectual disabilities in residential care homes." International Journal of Pharmacy Practice 29, Supplement_1 (March 26, 2021): i44—i45. http://dx.doi.org/10.1093/ijpp/riab015.054.

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Abstract Introduction People with Intellectual Disabilities (ID) often have complex care needs and increased likelihood of premature death.1 The NHS has committed to improving the use of psychotropic medicines in people with ID with the Stopping the Over-Medication of People with Learning Disabilities (STOMP) programme.2 In the Wirral a cross-sector, collaborative service initiative involving community pharmacists and a specialist mental health pharmacist was developed to provide pharmaceutical care reviews for ID care home residents, which included an evaluation of the initiative. Aim This study aimed to determine the number and type of pharmacists’ interventions and GP recommendations in this service initiative. Methods Pharmacists provided pharmaceutical care reviews for ID care home residents using a framework and where applicable made interventions or recommendations to residents’ GPs or consultant psychiatrist. The framework was devised by the lead Consultant, Mental Health Trust lead pharmacist and Local Pharmaceutical Committee representatives to align with national ID priorities.1 Pharmacists were recruited via expressions of interest and direct recruitment by the mental health trust. Using anonymised, aggregated, Clinical Commissioning Group data, an Oversight Group divided all ID care homes in the locality into two groups: homes with residents with low psychotropic medicines use were primarily assigned to community pharmacists, whilst those with higher psychotropic use were assigned to the specialist mental health pharmacist. Pharmacists contacted care home managers and arranged reviews with all residents, sharing learnings in weekly reviews. Community pharmacists identified residents who would benefit from specialist mental health pharmacist review and referred them. Data collected included patient demographic details, medication history, results of assessments completed and interventions/recommendations. Following institutional ethical approval, this data was downloaded from PharmOutcomes into Microsoft Excel and personally identifiable data removed. The data underwent descriptive statistical analysis in SPSS, including frequency counting interventions by type. Results The pharmacists conducted reviews with 160 residents (76 by community pharmacists and 84 by the specialist mental health pharmacist) from November 2019 – May 2020, reflecting all residents in visited care homes. These residents were prescribed 1207 medicines, 74% were prescribed 5 or more medicines (i.e. polypharmacy) and 507 interventions or recommendations were made, averaging 3.3 per resident. Table 1 shows that the highest proportion (30.4%) of these were public health related, whilst changing and stopping medicines accounted for 17.9% and 12.8% respectively. The majority (63%) of interventions made by community pharmacists were public health related, whilst those made by the mental health specialist pharmacist most frequently concerned changing medicines (25%), stopping medicines (18%), and blood monitoring (13%). Conclusion The study findings indicate a high level of polypharmacy among the ID residents and a high number of interventions / recommendations were needed to improve care, in line with national priorities.1,2 The small scale of the study is acknowledged, and further research is warranted. However, the findings suggest that this service model may be an effective use of the respective skill sets of the pharmacists involved and suitable for wider adoption, with community pharmacists focusing on holistic care and specialist mental health making specialist medicines interventions. References 1. University of Bristol Norah Fry Centre for Learning Disability Studies. The Learning Disability Mortality Review (LeDeR) Programme Annual Report 2018. Available at: https://www.hqip.org.uk/wp-content/uploads/2019/05/LeDeR-Annual-Report-Final-21-May-2019.pdf (last accessed 12/10/20). 2. NHS England. Stopping over medication of people with a learning disability, autism or both (STOMP). https://www.england.nhs.uk/learning-disabilities/improving-health/stomp/ (last accessed 12/10/20).

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31

Crew, Sue. "Staff views of the introduction of APs into N Bristol NHS Trust." British Journal of Healthcare Assistants 7, no. 11 (November 2013): 562–65. http://dx.doi.org/10.12968/bjha.2013.7.11.562.

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32

Macpherson, Rob, and Isam Babiker. "Who works with adult victims of childhood sexual abuse?" Psychiatric Bulletin 18, no. 2 (February 1994): 70–72. http://dx.doi.org/10.1192/pb.18.2.70.

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A survey of mental health professionals in a Bristol NHS trust found that most had experience of therapeutic work with sexually abused patients and over half were currently engaged in such work. Supervision was variable and often considered inadequate. Few responders routinely enquired about historical abuse in the course of psychiatric assessment. The findings indicate a need for agreed strategy involving training, supervision and inter-agency co-operation to deal with this increasingly common problem.

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33

Taylor, Claire. "Royal recognition for colorectal cancer nursing." Gastrointestinal Nursing 18, no. 2 (March 2, 2020): 16–18. http://dx.doi.org/10.12968/gasn.2020.18.2.16.

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34

Kelson, Jennifer. "Local Purchasing of Journals is Required in Addition to a Nationally Purchased Collection to Meet the Information Needs of NHS Staff." Evidence Based Library and Information Practice 3, no. 1 (March 17, 2008): 68. http://dx.doi.org/10.18438/b8z026.

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A review of: Glover, Steven William, John Addison, Colette Gleghorn, and John Bramwell. “Journal Usage in NHS Hospitals: A Comparison Report of Total Usage at an Acute NHS Trust and a Specialist NHS Trust in the North West of England.” Health Information and Libraries Journal 24.3 (2007): 193-9. Objective - To compare journal usage between an acute National Health Service (NHS) Trust and a specialist NHS Trust located in North West England to provide some evidence as to how well the National Core Content Collection (provided by ProQuest) meets the needs of staff in these settings. Design - Comparative study Setting - An acute NHS Trust, comprising four hospital sites, and a cancer specialist NHS Trust based on a single site. Both Trusts are located in North West England. The cancer specialist NHS Trust is a teaching hospital with undergraduate nurses, medical students, and student radiographers. This Trust is also closely associated with an adjoining cancer research institute. The acute NHS Trust has a large number of healthcare staff in training and was not described as a teaching hospital. Subjects - Staff of the respective NHS Trusts. The staff numbers for each organisation were not provided. Methods - COUNTER usage statistics of online journals, obtained from publisher administration tools, were collected for one year covering the period 1 December 2005 to 30 November 2006. Where available, the number of photocopies made from print journals during the same period by library users for their own use was also included. All full-text downloads of journal articles were counted as part of this study, hence the possibility of double counting if a single article was requested in both HTML and PDF versions. Details of free or open access articles accessed without the need for a username and password were not included in the study. To encourage use of the electronic journals, library services at both Trusts implemented a number of initiatives to maximize publicity. These included direct e-mails to staff, posters, and presentations to staff. Athens registration, required for access to the electronic journal collections, was promoted as part of the induction process for new library users. Staff members were encouraged to apply for the electronic table of contents alert for journals in their area of specialty. An A-Z list of journals was accessible via the Trusts’ intranet and internet sites, and direct links to electronic journals were added to the NHS Dialog/Datastar databases and on PubMed. Main results - The libraries at both Trusts in the study provide the majority of their journals in electronic-only format. In addition to the National Core Content titles, the cancer specialist Trust provides access to an additional five journal collections: Science Direct Health Sciences, Blackwell Synergy Medical and Nursing collection, five journals selected from Nature Publishing Group, selected society journals via HighWire Press and Oxford University Press titles. Staff members of the acute Trust have access to an additional three journal collections: Science Direct Health Sciences, the BMJ Publishing Group (BMJPG) collection and 16 LWW titles via Ovid. During the study period, a total of 93,376 articles were downloaded or copied. Of these, 47,079 articles were downloaded or copied by staff of the cancer specialist NHS Trust and 46,297 articles were downloaded or copied by staff of the acute NHS Trust. The usage of each of the journal collections during the study period for each Trust is shown in the table below with the most used resource shown in bold. Content Provider Cancer Trust Acute Trust HighWire Press Hosted Journals 19,773 (42%) n/a Science Direct Health Sciences 10,808 (23%) 15,844 (34.2%) Nature Publishing Group 6,034 (12.8%) n/a Blackwell Synergy Medical and Nursing 4,487 (9.5%) n/a Oxford University Press 3,387 (7.2%) n/a National Core Content ProQuest 2,118 (4.5%) 13,834 (29.9%) BMJPG journals n/a 5,440 (11.8%) LWW via Ovid n/a 2,279 (4.9%) Photocopies from print journals 472 (1%) 8,900 (19.2%) Total 47,079 46,297 General information regarding some of the commonly used journal titles by staff of each Trust was included in the commentary, but levels of use were not enumerated. Staff of the cancer specialist NHS Trust favoured cancer-related titles, whilst staff of the acute NHS Trust accessed journal titles over a greater range of subject areas. Details of the top titles accessed from the National Core Content collection were not provided for either Trust. A possible reason given for the lower usage level of the National Core Content collection by the cancer specialist NHS Trust compared to the acute NHS Trust was the presence of embargoes on many cancer-related titles within the National Core Content collection. Information about training offered to staff, their level of access to computer facilities, or familiarity with accessing electronic journal collections was not provided. Conclusion - Staff of both Trusts in the study recorded a high level of journal use, with a total of 93,376 articles downloaded or photocopied during the study period. There was a marked difference in the usage patterns of the National Core Content journals between the two Trusts studied with the acute NHS Trust showing a higher proportion of usage (29.9%) compared with the cancer specialist Trust (4.5%). Staff members of the acute NHS Trust accessed a greater range of subject areas, whilst staff those at the cancer specialist NHS Trust favoured cancer-related titles. The results indicated that the National Core Content collection did not meet the information needs of the specialist cancer Trust as well as it met the needs of the more generalist acute Trust. The National Core Content collection appears insufficient to meet the diverse information needs of all NHS staff. Local purchasing of journals, in addition to national level provision, is therefore required to ensure that the needs of local specialties are adequately supported.

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Hall, Tony. "Case in Focus. Mediation: Billington v North Staffordshire Hospital NHS Trust." Clinical Risk 6, no. 2 (March 2000): 71–72. http://dx.doi.org/10.1177/135626220000600208.

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Bradley, Peter. "London North West University Healthcare NHS Trust healthcare support workers event." British Journal of Healthcare Assistants 12, no. 11 (November 2, 2018): 566–67. http://dx.doi.org/10.12968/bjha.2018.12.11.566.

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Eyles, Emily, Maria Theresa Redaniel, Tim Jones, Marion Prat, and Tim Keen. "Can we accurately forecast non-elective bed occupancy and admissions in the NHS? A time-series MSARIMA analysis of longitudinal data from an NHS Trust." BMJ Open 12, no. 4 (April 2022): e056523. http://dx.doi.org/10.1136/bmjopen-2021-056523.

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ObjectivesThe main objective of the study was to develop more accurate and precise short-term forecasting models for admissions and bed occupancy for an NHS Trust located in Bristol, England. Subforecasts for the medical and surgical specialties, and for different lengths of stay were realisedDesignAutoregressive integrated moving average models were specified on a training dataset of daily count data, then tested on a 6-week forecast horizon. Explanatory variables were included in the models: day of the week, holiday days, lagged temperature and precipitation.SettingA secondary care hospital in an NHS Trust in South West England.ParticipantsHospital admissions between September 2016 and March 2020, comprising 1291 days.Primary and secondary outcome measuresThe accuracy of the forecasts was assessed through standard measures, as well as compared with the actual data using accuracy thresholds of 10% and 20% of the mean number of admissions or occupied beds.ResultsThe overall Autoregressive Integrated Moving Average (ARIMA) admissions forecast was compared with the Trust’s forecast, and found to be more accurate, namely, being closer to the actual value 95.6% of the time. Furthermore, it was more precise than the Trust’s. The subforecasts, as well as those for bed occupancy, tended to be less accurate compared with the overall forecasts. All of the explanatory variables improved the forecasts.ConclusionsARIMA models can forecast non-elective admissions in an NHS Trust accurately on a 6-week horizon, which is an improvement on the current predictive modelling in the Trust. These models can be readily applied to other contexts, improving patient flow.

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Macpherson, Rob, and Ed Robson. "How do clinicians choose antidepressants?" Psychiatric Bulletin 18, no. 10 (October 1994): 597–99. http://dx.doi.org/10.1192/pb.18.10.597.

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A survey of the prescribing practice of a group of psychiatrists working in a Bristol NHS trust found that their preferred choice of antidepressants was surprisingly similar, but reported doses of antidepressants often fell below generally accepted minimum levels. Clinicians used mainly newer antidepressants rather than tricyclics. The choice of antidepressant was based on side effect profile, overdose danger, training and personal experience of efficacy. Cost and drug company advertising had little effect on choice. Difficulties in involving depressed patients in treatment decisions are discussed.

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Davies, Andrew. "JH (a minor suing by his mother and litigation friend) v Gwent Healthcare NHS Trust (1) and North Glamorgan NHS Trust (2)." Clinical Risk 19, no. 6 (November 2013): 143–44. http://dx.doi.org/10.1177/1356262214522607.

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Glover, Steven William, John Addison, Colette Gleghorn, and John Bramwell. "Journal usage in NHS hospitals: a comparison report of total usage at an acute NHS Trust and a specialist NHS Trust in the North West of England." Health Information and Libraries Journal 24, no. 3 (September 2007): 193–99. http://dx.doi.org/10.1111/j.1471-1842.2007.00720.x.

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Andrews, Karen V., Jonathan R. Penny, and Paul A. King. "Are patients referred for NHS-funded dental implant treatment being selected in accordance with national guidelines and subsequently funded by their primary care trust?" Annals of The Royal College of Surgeons of England 92, no. 6 (September 2010): 512–14. http://dx.doi.org/10.1308/003588410x12664192076016.

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INTRODUCTION The Faculty of Dental Surgery, The Royal College of Surgeons of England (RCSE), published a national guideline document in 1997 detailing specific selection criteria for National Health Service (NHS) funded dental implant treatment. The aim of this audit was to assess whether patients selected for NHS-funded dental implants at Bristol Dental Hospital (BDH) met the RCSE national criteria for treatment and received funding from their primary care trust (PCT). PATIENTS AND METHODS A retrospective audit over a period of 2 years was undertaken using medical records and an existing Microsoft Excel database. All patients who had an application submitted to their local PCT for NHS-funded dental implants by BDH were included in this audit. RESULTS A total of 82 applications for dental implant funding were made by BDH and 100% met the RCSE criteria. Fifty-one patients (62.2%) in total had their application for funding approved. Thirty-one patients (37.8%) that met the RCSE guidelines for NHS-funded dental implant treatment had their applications refused. Twenty-five (49%) out of 51 cases in the partially dentate category and six (27.3%) cases in the edentulous group were unsuccessful in their application for NHS-funded dental implants. However, all applications for patients with acquired maxillofacial defects were successful. CONCLUSIONS Patient selection by the BDH for NHS-funded implants complied with the RCSE guidelines. However, there was significant variation in funding between PCTs for those patients who apparently fulfilled the RCSE guidelines. NHS resources are not being allocated equitably for dental implant ‘high-priority’ patients and it would appear that a so-called ‘postcode lottery’ exists between PCTs.

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Burch, Jennifer. "Providing gastrointestinal nurse education during the pandemic." British Journal of Nursing 30, no. 19 (October 28, 2021): 1146–48. http://dx.doi.org/10.12968/bjon.2021.30.19.1146.

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Jennifer Burch, Head of Gastrointestinal Nurse Education, St Mark's Hospital, London North West University Healthcare NHS Trust ( jburch1@nhs.net ), was runner-up in the Gastrointestinal/Inflammatory Bowel Disease Nurse of the Year category of the British Journal of Nursing Awards 2021

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Gatter, Michelle, Giles Dixon, Josh Wall, and Ed Mew. "Changing an ingrained culture: Improving the safety of oxygen therapy at University Hospitals Bristol NHS Foundation Trust." BMJ Quality Improvement Reports 4, no. 1 (2015): u203238.w1474. http://dx.doi.org/10.1136/bmjquality.u203238.w1474.

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Cumberlidge, Julie. "A simple but vital innovation in the care of kidney patients." British Journal of Nursing 30, no. 5 (March 11, 2021): 313. http://dx.doi.org/10.12968/bjon.2021.30.5.313.

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Julie Cumberlidge, Deputy Associate Chief Nurse, Medicine Division, Royal Stoke University Hospital, University Hospitals of North Midlands NHS Trust ( Julie.cumberlidge@uhnm.nhs.uk ), describes an innovation by the Trust's Haemodialysis Team, runner-up in the BJN Awards 2020 Renal Nurse of the Year category

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McWilliams, Chris, Joshua Inoue, Philip Wadey, Graeme Palmer, Raul Santos-Rodriguez, and Christopher Bourdeaux. "Curation of an intensive care research dataset from routinely collected patient data in an NHS trust." F1000Research 8 (August 19, 2019): 1460. http://dx.doi.org/10.12688/f1000research.20193.1.

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In this data note we provide the details of a research database of 4831 adult intensive care patients who were treated in the Bristol Royal Infirmary, UK between 2015 and 2019. The purposes of this publication are to describe the dataset for external researchers who may be interested in making use of it, and to detail the methods used to curate the dataset in order to help other intensive care units make secondary use of their routinely collected data. The curation involves linkage between two critical care datasets within our hospital and the accompanying code is available online. For reasons of data privacy the data cannot be shared without researchers obtaining appropriate ethical consents. In the future we hope to obtain a data sharing agreement in order to publicly share the de-identified data, and to link our data with other intensive care units who use a Philips clinical information system.

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Chaturvedi, Santosh K. "The International Fellowship Scheme: from Silicon Valley to the Potteries and back." Psychiatric Bulletin 30, no. 6 (June 2006): 226–27. http://dx.doi.org/10.1192/pb.30.6.226.

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I was one of the initial applicants to the NHS International Fellowship Scheme and joined the North Staffs Combined Healthcare NHS Trust in November 2003 as a consultant at the Greenfield Centre, Stoke on Trent. It had always been my dream to work in the UK as a consultant. I always wondered how similar it was to the consultant/ faculty position I held at the National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India. Here I describe my experiences.

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Baldwin, Sharin, Tracey Coyne, Claire Hynes, and Patricia Kelly. "Reflections on setting up a nursing preceptorship programme." British Journal of Nursing 29, no. 11 (June 11, 2020): 627–31. http://dx.doi.org/10.12968/bjon.2020.29.11.627.

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It is now common practice for preceptorship programmes to be offered to newly qualified nurses within the NHS. The Nursing and Midwifery Council expects newly qualified nurses to be given protected time for learning in their first year of qualified practice and to access support from a preceptor. This article discusses a preceptorship programme that has been implemented in a large integrated NHS Trust in north-west London and shares reflections and learning to date, which can benefit others wanting to roll out a similar programme in the UK.

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Succony, L., E. Dockree, A. Blake, U. Hoda, and T. Win. "64 Patient choice in lung cancer at the East and North Hertfordshire NHS Trust." Lung Cancer 71 (January 2011): S22. http://dx.doi.org/10.1016/s0169-5002(11)70064-2.

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Colavitti, Giulia, Ahmed Emam, Philippa Jackson, and Sherif Wilson. "P009: The cherry on top. North Bristol trust experience on nipple and areola complex reconstruction." European Journal of Surgical Oncology 46, no. 6 (June 2020): e13. http://dx.doi.org/10.1016/j.ejso.2020.03.048.

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Severn, Andrew. "Interview with Ian Cumming." Morecambe Bay Medical Journal 5, no. 3 (October 2, 2006): 75–76. http://dx.doi.org/10.48037/mbmj.v5i3.370.

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Ian Cumming was, at his appointment to the Lancaster Acute Hospitals Trust 11 years ago, the youngest chief executive in the NHS. The Journal finds him upbeat in his assessment of the future prospects for the University Hospitals of Morecambe Bay (UHMB), and in his role as deputy chairman of the Postgraduate Medical Education and Training Board (PMETB), an unrepentant and pragmatic reformer. His move this month to head the new North Lancashire Primary Care Trust offers him new opportunities to see through some of his more ambitious plans for Morecambe Bay.

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